The present invention provides methods and systems for providing juvenile insurance having a waiver of premium feature at a premium or death benefit computed based on a variable that is not directly dependent on the age, health, or gender of the initial owner or payor. In one embodiment, the premium or death benefit are computed based at least in part on a payor's affiliation with a group of acceptable payors marketed for juvenile insurance by an insurer, and a probability associated with an incidence of an event that triggers the waiver of premium feature occurring to an individual of the group or a subset of the group.
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1. A method for providing juvenile insurance having a waiver of premium feature comprising:
electronically obtaining information useful for issuing a juvenile insurance policy for a potential payor and an insured via a computer, wherein the waiver of premium feature is triggered based at least in part upon a payor's ability to pay a premium;
electronically determining, via the computer, one of a juvenile insurance policy premium or a juvenile insurance policy death benefit, the juvenile insurance policy premium or death benefit computed based on the potential payor's affiliation as a member within an organization wherein:
organization members have at least one commonality between them,
the premium or death benefit is independent of the potential payor's age, health, and gender, and
a probability associated with a waiver of premium triggering event based on at least one of: (1) an eligibility requirement of the payor belonging to the organization; and (2) the incidence of the triggering event occurring to a subset of the organization; and
offering, to the potential payor, the juvenile insurance policy having the waiver of premium feature and the determined premium or death benefit.
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This invention relates generally to juvenile insurance. More particularly, the present invention provides methods and systems for providing juvenile insurance with a waiver of premium feature.
Juvenile insurance is life insurance that insures the life of a minor or young adult, which is typically purchased by a parent or guardian when the insured is between the ages of about 14 days to about 17 years old. When the insured reaches an age of majority or some time thereafter, policy ownership is transferred to the insured upon which time the insured may elect to continue the policy. Juvenile insurance, particularly of the permanent type of life insurance, typically accumulates a cash value yearly that may be withdrawn or borrowed against, for example, by the insured for a down payment on a first home, to help pay for college, etc., and may guarantee future insurability for additional amounts of insurance. The term “permanent type of life insurance” generally refers to a life insurance policy that is in force throughout an insured's lifetime provided the conditions of the policy are satisfied, such as payment of the premium. Accordingly, juvenile insurance may be given to children as a valuable gift that will continue to be valuable for years after purchase. Juvenile insurance may also be purchased with a waiver of premium rider that, with regard to juvenile life, typically waives premiums upon the death of the payor until the insured reaches an age of majority, which further adds to the value of juvenile insurance.
The premium for juvenile insurance with a premium waiver rider is computed based on the age and/or gender of the payor. The premium for juvenile insurance will therefore vary depending on the age of the payor and will typically be higher for older payors, which makes juvenile insurance less attractive to older payors, such as grandparents, that want to purchase juvenile insurance for the children in their lives. Accordingly, there is a need for juvenile insurance that may be purchased at a premium that does not penalize older payors.
A few computerized systems have been adopted in the art for administering financial products, such as those described in Published United States Patent Application Nos. 2003/0126053, entitled “System and method for pricing of a financial product or service using a waterfall tool”, 2002/028466, entitled “System and method for providing financial planning and advice”, and 2002/0169715, entitled “System and method for administering a financial program involving the collection of payments, U.S. patent application Ser. Nos. 09/692,112 and 09/538,693, published as International PCT Applications Publication Nos. WO 02/35363, entitled “Interactive insurance premium verification system and method”, and WO 01/75557, entitled “Financial product administration system and methods”, respectively, each of which is hereby incorporated herein by reference. The systems and methods discussed in the above-identified references do not, however, address and consequently do not overcome the pricing shortcoming associated with juvenile insurance having a waiver of premium rider.
The present invention provides methods and systems for providing, among other things, juvenile insurance having a waiver of premium feature without some or all of the shortcomings associated with juvenile insurance currently available. In one aspect of the invention, a method for providing juvenile insurance having a waiver of premium feature is provided that includes the steps of obtaining information useful for issuing a juvenile insurance policy for a potential payor and an insured, and determining a premium or a death benefit for the potential payor. The premium and death benefit are computed based at least in part on a variable that is not directly dependent on at least one of age, health, and gender of the potential payor.
In one embodiment, the premium or death benefit is computed based at least in part on a probability associated with the incidence of an event that triggers the waiver of premium feature, such as the death of the payor, occurring to an individual of the group of acceptable payors based on at least one eligibility requirement or a subset of the group of acceptable payors. The group of acceptable payors may be defined based on various types of eligibility requirements, such as a maximum age for payors, a generational qualification for payors, etc. The probability of the incidence of the event that triggers the waiver of premium feature may account for limitations for exercising the waiver of premium feature, such as a 2-year waiting period, a generational qualification, or an age limit for the insured, and may also account for the blend of the individuals of the group of acceptable payors with regard to the age, gender, or generational qualification of the payor, or a combination thereof.
In one embodiment, the eligibility requirements require a payor to be associated with a group of individuals having at least one commonality between them. In another embodiment, the probability associated with an incidence of an event that triggers the waiver of premium feature for an individual of the group of acceptable payors or the subset of the group is determined based on mortality data for the group of acceptable payors or the subset of the group, respectively.
The waiver of premium feature may be a standard feature of the juvenile insurance policy or offered as a rider. In one embodiment, the waiver of premium feature is a standard feature, which advantageously makes the policy with the waiver of premium feature conducive to direct mail marketing.
In one embodiment, the premium and death benefit are computed based at least in part on the potential payor's affiliation with a group of individuals having at least one commonality between them, and a probability associated with an incidence of an event that triggers the waiver of premium feature occurring to an individual of the group of individuals having at least one commonality between them or a subset of the group given the age of the insured, the gender of the insured, or a combination thereof.
In another aspect, a method for providing juvenile insurance having a waiver of premium feature is provided that includes the steps of obtaining information useful for issuing a juvenile insurance policy for a potential payor and an insured, which includes the age of the insured, the gender of the insured, or both, determining whether the potential payor belongs to a group of acceptable payors based on eligibility requirements, and determining a premium or a death benefit for the potential payor. The premium and death benefit are computed based at least in part on the payor's affiliation with the group of individuals having at least one commonality between them, the age or gender of the insured, or a combination thereof, and a probability associated with the incidence of an event that triggers the waiver of premium feature occurring to an individual of the group of individuals having at least one commonality between them or a subset of the group of individuals having at least one commonality between them given the age or gender of the insured. In this instance, the event that triggers the waiver of premium feature includes death of the payor.
In another aspect, a method for providing juvenile insurance having a waiver of premium feature is provided that includes the steps of obtaining information useful for issuing a juvenile insurance policy for a potential payor and an insured, determining whether the potential payor belongs to a group of acceptable payors based on eligibility requirements, and determining a premium or a death benefit for the potential payor. The premium and death benefit are computed based at least in part on a probability associated with an incidence of an event that triggers the waiver of premium feature occurring to an acceptable payor.
In another aspect, a method for providing juvenile insurance having a waiver of premium feature is provided that includes the steps of determining a premium or a death benefit for a juvenile insurance policy for a potential payor and an insured, and offering the juvenile insurance policy at the premium or death benefit based on the age of the insured. The premium and death benefit are computed for each of a plurality of possible issue ages of an insured based at least in part on the payor's affiliation with a group of individuals having at least one commonality between them and a probability associated with an incidence of an event that triggers the waiver of premium feature, such as death of the payor, occurring to an individual of the group of individuals having at least one commonality between them, such as members of the AARP, or a subset of the group. The subset of the group of acceptable payors may be defined as those individuals of the group able to purchase juvenile insurance based on limitations for insurability.
In one embodiment, the probability associated with an incidence of an event that triggers the waiver of premium feature for an individual of the group of individuals having at least one commonality between them or a subset of the group of individuals having at least one commonality between them is determined based on mortality data for the group of individuals having at least one commonality between them or the subset of the group of individuals having at least one commonality between them, respectively.
The invention is illustrated in the figures of the accompanying drawings which are meant to be exemplary and not limiting, in which like references are intended to refer to like or corresponding parts, and in which:
The present invention generally provides methods and systems for providing juvenile insurance having a premium waiver feature, as a rider or as a standard feature of the insurance policy, at a premium that does not depend directly on and therefore does not vary depending on the age, health, or gender of the payor at least with respect to the group of acceptable payors for juvenile insurance and thereby does not penalize older payors. The term “premium” is used herein to denote the purchase price of an insurance policy, which may be paid in a series of periodic payments, such as monthly, semiannually, yearly, etc. The term “payor” is used herein to generally include an individual that is the initial owner or purchaser of the policy, or who is otherwise responsible for paying a premium on the policy. The group of acceptable payors refers to a group defined by the eligibility requirements for juvenile insurance. Thus, if juvenile insurance as described herein is limited to individuals associated with a particular group or organization, the group of acceptable payors includes individuals associated with the organization or group. If juvenile insurance is offered on an individual basis irrespective of group association, the group of acceptable payors includes all individuals subject to qualifications, such as generational qualifications, age qualifications, etc.
Referring to
The type of information that is useful for issuing the juvenile insurance policy may vary, and may include personal information regarding the potential payor and the potential insured, information regarding variables or options associated with juvenile insurance, etc. Personal information may include the name, date of birth, age, address, and gender of the payor or of the insured, the payors association with a group or groups, etc. Variables associated with juvenile insurance may include a desired death benefit, a desired premium, selection of riders or other options, limitations, etc.
Some or all of the variables associated with juvenile insurance, such as death benefits, the availability of certain riders or options, limitations, etc., may be specified by the insurer and may not therefore be subject to negotiation or change. For example, the insurer may limit death benefits to a maximum of $10,000, limit the maximum eligible age of a payor to 80 years old, require that the policy be in force at least 2 years as a condition to the waiver of premium payments, limit eligibility to specific groups or organizations, limit eligibility to particular generations of payors, such as grandparents, etc. Accordingly, in this instance, a determination is made at step 104 whether the potential payor is an acceptable payor based on eligibility for the juvenile insurance policy. An insurer is used herein to denote the party offering and/or guaranteeing the juvenile insurance contract. The insurer may therefore be an insurance company, a guarantor, an employer, a private party, agents thereof, etc.
In one embodiment, information regarding the payor's association with a group or organization, the age or gender of the insured, or a combination thereof, are used to compute a premium or as a basis for offering juvenile insurance at a computed or otherwise determined premium, and is therefore a necessary item of information. At least one policy variable, such as a premium or death benefit, for the juvenile insurance policy having a waiver of premium feature may then be determined or computed at step 110. In accordance with one embodiment of the present invention, the premium or death benefit is computed based on at least one variable or factor that is independent of or not directly dependent on the age, health, or gender of the payor. In other words, the juvenile insurance policy will not be underwritten based on the payor. The policy variable may be computed individually for each application for juvenile insurance, or may computed for a variety of circumstances and tabulated or stored in a database, such as a policy variable database, that may be accessed, e.g., by an insurance agent or an employee of the insurer, at a later date for determining the premium or death benefit for a potential payor based on the information provided.
Various variables or factors may be used to compute the premium or the death benefit. In one embodiment, juvenile insurance having a waiver of premium feature in accordance with the present invention is made available to individuals that are associated with at least one group or organization of individuals having at least one commonality between them. For instance, juvenile insurance may be offered to individuals belonging to an organization, such as AARP, a group of employees of one or more companies, etc. The group may also be defined by geographic boundaries, such as counties, cities, states, countries, etc. Pricing for juvenile insurance for the group of acceptable payors based on group association may therefore be derived or based at least in part on the probability or rate of the incident of an event that triggers the waiver of premium feature, such as death, of an individual member of the group of acceptable payors or a subset thereof. In one embodiment, pricing is derived at least in part on a pricing mortality rate tq(d)x algorithm provided in Appendix A. A subset may be defined by the individuals of the group able to be a purchaser of juvenile insurance, for example, based on limitations for insurability, such as eligibility requirements defining the minimum and maximum ages for payors, generational qualification, etc. In one embodiment, the policy is provided as individual insurance that is not limited to individuals belonging to a particular group or organization. In this instance, the premium or death benefit may be computed based on the probability of the incidence of the event that triggers the waiver of premium feature with regard to the general population or a subset of the general population based on eligibility requirements for juvenile insurance.
In one embodiment, the probability of the incident or the triggering event, such as death, of an individual of the group of acceptable payors or a subset thereof is derived independent of the individual's age, health, or gender. The probability may be derived based on known data, e.g., historical data, presumptions, statistics, etc., or a combination thereof, regarding the group of acceptable payors, a subset of the group, similar groups, the general population, etc. For instance, the probability of death of an individual member of a group of acceptable payors may be derived based on known mortality data of the group or a subset of the group, or inferred based on known mortality data of a similar group or of the general population. In the instance the premium or death benefit is computed either alone or primarily based on the probability of death of an individual in the group of acceptable payors or the subset of the group, the premium may be set equal for every member of the group or subset thereof. In one embodiment, the pricing for juvenile insurance for the group of acceptable payors or subset thereof is further based on the age, gender, or a combination thereof, of the insured. In this instance, the premium or death benefit will not vary based on the age or gender of the payor, rather, the premium or death benefit will vary based on the age at issue or gender of the insured. In one embodiment, an annual premium Gx is computed at least in accordance with one or more of the algorithm provided in Appendix A. The probability of the incidence of the event that triggers the waiver of premium feature may further account for incidences that will not trigger the waiver or trigger an end for the waiver benefit, for example, due to restrictions or limitations with regard to the waiver, such as a 2-year waiting period, an age limit for the insured, such as 21 years of age, etc.
The incident triggering the waiver may similarly be an event, other than the death of the payor, which affects the payor's ability to pay the premium on the juvenile insurance policy, such as a severe injury, disability, disease, unemployment, etc. Accordingly, the waiver may continue until either the age of majority of the insured or until the triggering event is mitigated, for example, by the payor recovering from the injury or disease, regaining employment, etc., or until some predefined time after the triggering event, e.g., 6 months, 1 year, etc.
In one embodiment, the premium or death benefit is determined based on a rate of incidence of the event triggering the waiver of premium feature, such as a mortality rate, for a blend of the individuals of the group of acceptable payors or subset of the group, or the product of the rate of incidence for the blend and an anti-selection factor. That is, the probability the triggering event for an individual member of the group or of a potential payor takes into account the particular blend of the individuals of the group of acceptable payors or of the subset of the group by, for example, age, gender, generational classifications, etc. The incident rate for the blend may be determined based on known correlations or on assumptions regarding the individuals of the group or payors given the age of the insured, which assumptions may be based on the experience or professional judgment of the insurer, with or without adjustments for conservative estimation. The assumption regarding the blend of individuals or payors may be based on historical insurance data regarding a blend of payors by gender, the generational blend of payors, the blend of ages for mothers and for grandmothers, and the blend of ages for fathers and grandfathers. These assumptions are particularly probative with respect to computing the premium or death benefit for juvenile insurance with limited generational eligibility, such as juvenile insurance limited to individuals of the group of acceptable payors that are grandparents of an insured.
The blend of payors by gender may be derived from known data for the distribution of applications for insurance by gender that have been processed by the insurer, and the distribution by gender of certificate owners or of actual issued policies. The generational blend, e.g., the proportion of parents and grandparents, of the group of acceptable payors, may be derived based on the market targeted for the juvenile insurance. For instance, an older targeted market may result in a larger proportion of certificates issued to grandparents than parents. The blend of ages for mothers and the blend of ages for grandmothers may be based on the National Center for Health Statistics that provides tabulated data regarding the number of live births by the age of the mother for the years 1933-1998, and the blend of ages for fathers and the blend of ages for grandfathers may be based on the average age difference between married customers in conjunction with the blend of female ages.
The anti-selection factor applied to the blended rate of incidence generally accounts for any anti-selection that may occur by not underwriting the life that determines qualification for the waiver benefit. In one embodiment, the anti-selection factor is determined based on the experience or judgment of the insurer. For example, the anti-selection factor may be derived from a ratio of the mortality rate experienced for a guaranteed acceptance life insurance product to the mortality rate of the general population. Mortality may be calculated as the mortality rate for the blend of ages of purchasers or payors. In one embodiment, the anti-selection factor tf(1)x is computed with one or more of the algorithms provided in Appendix A. A portion of the ratio, e.g., calculated geometrically, may then be used as the anti-selection factor to reflect the portion of the anti-selection the insurer would expect with juvenile insurance having a waiver of premium feature as described herein. In general, if anti-selection is expected to be 1/kth of the anti-selection experienced with a guaranteed issue life insurance product (where k is a non-zero real number), and the anti-selection factor for the guaranteed acceptance life insurance product is tfxga, then tfx(1)=[tfxga]1/k. Since the premium waiver benefit is not as prominent as the death benefit on a guaranteed issue life insurance product, the mortality rate used to calculate the incidence rates should be somewhere between mortality for guaranteed acceptance life insurance and mortality for the general population.
In one embodiment, the premium or death benefit is computed for each issue age of the insured of a plurality of possible issue ages based on the cost of the waiver feature, such as with the cost of waiver tC(w)x algorithms provided in Appendix A. The cost of the waiver feature at any duration is generally the product of the number of new waiver incidences for a particular issue age in the duration and the severity of the benefit for that issue age in the duration. The waiver incidence rate is generally the probability of the incidence of the event that . triggers the waiver of premium feature as described above. The severity of the waiver benefit may be computed as the present value of expected future premiums to be waived. The number of new waiver incidences td(w)x and the severity tSx may be computed with the algorithms provided in Appendix A.
With regard to the algorithms provided, the number of new waiver incidences td(w)x expected at a given time in years after issuance is generally a function of total lives in-force t1(τ)x, the number of lives not-eligible-for-waiver t1(nw)x, the number of certificates already receiving the waiver benefit t1(w)x, and the waiver incidence rate tq(w)x. The number of new not-eligible-for-waiver incidences td(nw)x is a function of total lives in-force t1(τ)x, the number of certificates already not eligible for the waiver benefit t1(nw)x and the not-eligible-for-waiver incidence rate tq(nw)x. The number of lives not-eligible-for-waiver t1(nw)x, or the accumulated number of lives that are not eligible for the waiver benefit, is a function of lives not-eligible-for-waiver in a prior year, lapse rates t−1q(1)x, mortality rates t−1q(d)x, and new not-eligible-for-waiver incidences t−1d(nw)x. The number of lives not-eligible-for-waiver is increased by new not-eligible-for-waiver incidences. Issued policies are exposed to both deaths and lapses, and pricing may account for these factors. The number of lives on the waiver benefit t1(w)x, or the accumulated number of lives that are receiving the waiver benefit, is a function of lives on the waiver benefit in the prior year, waiver continuance, and new waiver incidences td(w)x. The continuance rate accounts for the exposure to deaths of the insured, but not lapses, and that waivers will end when the insured attains the age of 21. The expected future premiums to be paid are a function of the premium and the continuance rate.
Certificates receiving the waiver benefit are assumed not to lapse. An adjusted lapse rate tq(1)
Expenses may be adjusted to reflect that certificates on premium wavier will not be sent a billing statement. The adjusted billing expenses per certificate tE(m)
Once a premium or death benefit is computed, the insurance policy may be offered to the potential purchaser or payor at step 112, provided the eligibility requirements have been satisfied. If at step 114 the potential purchaser or payor does not accept the offer to purchase the policy, the information obtained may either be saved, such as on the computer system described below, for future reference or discarded, and one or more of the steps described above can be repeated for the next potential purchaser. If the offer is accepted at step 114, the juvenile policy may issue at the computed or determined premium at step 116. The steps required to issue a policy vary depending on the relationship between the individual that obtained the information and the insurer. For example, where the insurer or a party authorized to act on behalf of the insurer obtained the information, the policy may issue automatically or at some predetermined time thereafter, e.g., 30 days, etc. If however the individual is an insurance agent with limited authority to bind the insurer, the policy may issue only after first being reviewed and accepted by the insurer. In any event, if the policy issues, the information obtained, such as the personal information, juvenile insurance variables, etc., and any other relevant information are stored at step 118 in an appropriate database, such as a juvenile life insurance database.
Referring to
In one embodiment, testing includes determining at 204 whether or not the policy is in effect or has otherwise lapsed. In another embodiment, testing includes determining at 206 whether or not any limitation or restriction that must be satisfied prior to waiving the premium has been satisfied, such as determining whether a 2-year wait period has been satisfied, lapse of the waiver feature due to the insured's age, etc.
If at steps 202, 204, or 206 the demand fails with regard to the limitations or restrictions set forth in the annuity contract, the claim will be denied at step 208, and the above steps may be repeated for the next or subsequent claims. If the claim passes the testing criteria, the premium will be waived at step 210 for the juvenile policy having the waiver of premium feature in accordance with the present invention as described above.
Referring to
In an alternative embodiment, the client interface 302 is communicatively connected to at least one server 314 over a communications network 316, such as a local area network (LAN), a wide area network (WAN), the Internet, the World Wide Web (WWW), a wireless network, or a combination thereof. The server 314 includes at least one database, such as a juvenile life insurance database 310. The juvenile life insurance database 310 generally includes information obtained from payors or purchasers that is useful for issuing the juvenile insurance policy, such as personal information, juvenile insurance variables, juvenile insurance options, etc.
In one embodiment, the client interface 302 accesses the relevant database or databases, stored locally at the client interface 302 or remotely at the server 314, for information necessary to compute or otherwise determining the premium or the death benefit for the juvenile insurance policy, and may update the relevant databases accordingly. Similarly, the client interface 302 accesses the juvenile life policy database to test a claim for a waiver of premium.
While the invention has been described and illustrated in connection with preferred embodiments, many variations and modifications as will be evident to those skilled in this art may be made without departing from the spirit and scope of the invention, and the invention is thus not to be limited to the precise details of methodology or construction set forth above as such variations and modification are intended to be included within the scope of the invention.
Issue age refers to issue age of the insured.
Polilli, Robert J., Pfalzer, Michael A., Brady, Jennifer L.
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Executed on | Assignor | Assignee | Conveyance | Frame | Reel | Doc |
Nov 26 2003 | New York Life Insurance Company | (assignment on the face of the patent) | / | |||
Mar 31 2004 | POLILLI, ROBERT J | New York Life Insurance Company | ASSIGNMENT OF ASSIGNORS INTEREST SEE DOCUMENT FOR DETAILS | 015213 | /0579 | |
Mar 31 2004 | PFALZER, MICHAEL A | New York Life Insurance Company | ASSIGNMENT OF ASSIGNORS INTEREST SEE DOCUMENT FOR DETAILS | 015213 | /0579 | |
Mar 31 2004 | BRADY, JENNIFER L | New York Life Insurance Company | ASSIGNMENT OF ASSIGNORS INTEREST SEE DOCUMENT FOR DETAILS | 015213 | /0579 |
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